Michigan Public Health APHA Conference & San Francisco Alumni Reception
Connect with your Michigan Public Health community!

Monday, October 26, 2020
Location: TBD
Email address *
I plan to attend the event on Monday, October 26, 2020 in San Francisco. *
Required
First Name *
Your answer
Last Name *
Please include your full last name. If your last name has changed, please write "current name (previous name)." Example: Smith (Olsen)
Your answer
First name and Last name as you would like them to appear on name tag *
Please feel free to include nicknames or abbreviations
Your answer
Affiliation *
Required
Department / Program *
Required
Graduation Year(s)
If applicable - Provide degree(s) from SPH only. Example: M.P.H. '86 , Ph.D. '90
Your answer
Guest Name
If you are planning to invite a guest, please list their name below
Your answer
Are you presenting at APHA? *
Please let us know about any other role(s) you have at the conference (e.g. Governing Council, Section, Affiliate, or National Officer, etc).
Your answer
Please Do Not Post My Name in the List of Registrants
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